NPI | 1811186323 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MICHAEL FOLLIS President 574-514-8746 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010354A) |
Enumeration Date | 2007-10-21 |
Last Update Date | 2007-10-21 |